## Abstract An additional case of the stiffβman syndrome manifested by extremely painful, fluctuating muscular spasm and rigidity is reported. Eighteen cases previously reported in the literature are reviewed, and the accumulated indications for a metabolic defect and/or myopathy are presented.
β¦ LIBER β¦
Neurological and pharmacological evaluation of a case of stiff-man syndrome
β Scribed by A. Boiardi; P. Crenna; G. Bussone; S. Negri; B. Merati
- Publisher
- Springer
- Year
- 1980
- Tongue
- English
- Weight
- 334 KB
- Volume
- 223
- Category
- Article
- ISSN
- 0340-5354
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β¦ Synopsis
A typical case of stiff-man syndrome was studied neurophysiologically and pharmacologically focusing the attention on a central disorder, either spinal or suprasegmental. The results support the hypothesis that a gamma type of hypertonia is one of the causes of the stiff-man syndrome, ruling out the participation of the Renshaw circuits. The syndrome should be considered a central disorder of the descending pathways that control and modify gamma activity and the startle reaction mechanisms, especially affecting the circuits that use Gabaergic mediators.
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